Let’s work together Do you think we may be a good fit? Fill out some info and I’ll reach out to you soon to schedule a consultation Name * First Name Last Name Pronouns Email * Phone (###) ### #### What services are you looking for? Individual Therapy Couples/Relationship Therapy Adolescent Gender Affirming Care Letter What days and times would you be available for regular sessions, should we decide to work together? * Could you tell me a bit about what is bringing you to therapy? * Anything else you'd like me to know? Dropdown How did you hear about me? Gaylesta Inclusive Therapists Axis Mundi Center for Mental Health Psychology Today Referral From Another Therapist Other Thank you for reaching out! I’ll be in contact soon to schedule a consultation.
